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Modified unilateral periureteral injection technique in the treatment of patients with high-grade vesicoureteral reflux: A study of primary findings

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Asian Journal of Urology 2023年第1期10卷 96-100页

作者： seyed alaeddin asgari Afshin Safaei-Asl Mandana Mansour-Ghanaie seyed Mohammad asgari Asghar Faryabi Mohammadreza Bazli Faezeh Emami Sigaroudi seyed Ahmad Naseri Alavi Urology Research Center Razi HospitalSchool of MedicineGuilan University of Medical SciencesRashtIran School of Medicine Guilan University of Medical SciencesRashtIran Faculty of Medicine Tabriz University of Medical SciencesTabrizIran

Objective:Although endoscopic treatment has been used by many pediatric urologists for the treatment of vesicoureteral reflux(VUR),it has no considerable success in high-grade *** aimed to describe the primary outcomes of unilateral periureteral injection technique(PIT),as well as bilateral PIT in high-grade ***:In this prospective study,we examined 92 ureters in 45 boys and 40 girls from February 2010 to May *** PIT and unilateral PIT were applied in 67 and 25 refluxing units,*** the unilateral PIT,the subureteral injection site was only at the 5-or 7-o’clock ***,in the bilateral PIT,the subureteral injection sites were at 5-and 7-o’clock ***-and post-operative reflux grades were evaluated by voiding cystourethrography 6 months after ***:Seven patients had bilateral ***,75(81.5%)ureters showed Grade IV VUR,while 17(18.5%)had primary Grade V *** mean age of the subjects was 39.2 *** unilateral PIT ureters,VUR was resolved in 23(92.0%)refluxing *** was downgraded to Grade III in one ureter(4.0%)and to Grade II in another ureter(4.0%).In addition,in bilateral PIT cases,VUR was resolved in 60(89.6%)ureters;it downgraded to Grades II and III in 3(4.5%)and 4(6.0%)refluxing units,***:Unilateral PIT can be highly effective in the treatment of selected ureters of high-grade ***,further studies are needed to confirm our results.

关键词： Periureteral injection technique Bilateral periureteral injection technique Unilateral periureteral injection technique Endoscopy Vesicoureteral reflux

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